The Alabama attorney general’s office told federal appeals court judges last week that nitrogen hypoxia is “the most painless and humane method of execution known to man.” But what exactly Smith, 58, will feel after the warden switches on the gas is unknown, some doctors and critics say.

“What effect the condemned person will feel from the nitrogen gas itself, no one knows,” Dr. Jeffrey Keller, president of the American College of Correctional Physicians, wrote in an email. “This has never been done before. It is an experimental procedure.”

Keller, who was not involved in developing the Alabama protocol, said the plan is to “eliminate all of the oxygen from the air” that Smith is breathing by replacing it with nitrogen.

“Since the condemned person will not be breathing any oxygen, he will die,” Keller said. “It is little different than putting a plastic bag over one’s head.”

The state of Alabama has predicted in federal court filings that the nitrogen gas will “cause unconsciousness within seconds, and cause death within minutes.”

The state plans to place a “full facepiece supplied air respirator” over Smith’s face. The nitrogen would be administered for at least 15 minutes or “five minutes following a flatline indication on the EKG, whichever is longer,” according to the state protocol.

The execution would be the first attempt to use a new method since lethal injection was introduced in 1982. Three states — Alabama, Mississippi and Oklahoma — have authorized nitrogen hypoxia as an execution method. Some states are exploring new methods as lethal injection drugs have been difficult to find.

The American Veterinary Medical Association wrote in 2020 euthanasia guidelines that nitrogen hypoxia is not an acceptable euthanasia method for most mammals because the anoxic environment “is distressing.” And experts appointed by the United Nations Human Rights Council cautioned they believe the execution method could violate the prohibition on torture.

Dr. Joel Zivot, an anesthesiologist who as one of four professionals who filed the U.N. complaint that led to the warning, said Smith is at risk for seizures and choking to death on his own vomit. He said any leak under the mask could prolong the execution.

“A leak will do two things. It will potentially endanger people around. … Air could then get under the mask as well,” Zivot said. “And so the execution could be prolonged or maybe he might never die, he just could get injured.”

Much of what is recorded about death from nitrogen comes from industrial accidents — where leaks or cannister mix-ups have killed people — and from suicide attempts. The U.S. Chemical Safety and Hazard Investigation Board found 80 people were killed by nitrogen asphyxiation between 1992 and 2002.

Smith was one of two men convicted of the 1988 murder-for-hire of a preacher’s wife. Prosecutors said the men were paid $1,000 to kill Elizabeth Sennett, 45, on behalf of her husband, who wanted to collect on insurance. The coroner testified Sennett was stabbed repeatedly. Her husband killed himself when he became a suspect. John Forrest Parker, the other man convicted, was executed in 2010.

The victim’s son, Charles Sennett Jr., said in an interview with WAAY-TV that Smith “has to pay for what he’s done.” He and other family members plan to witness the execution.

“And some of these people out there say, ‘Well, he doesn’t need to suffer like that.’ Well, he didn’t ask Mama how to suffer?” the son told the station. “They just did it. They stabbed her — multiple times.”

Smith’s initial conviction was overturned. He was convicted again in 1996. The jury recommended a life sentence by 11-1, but a judge sentenced Smith to death. Alabama no longer allows a judge to override a jury’s sentencing decision in death penalty cases.

Smith is one of few people to survive a prior execution attempt. The state attempted a lethal injection in 2022, but the prison system called it off before the drugs were administered because the staff had difficulty connecting the two required intravenous lines.

Smith’s attorneys are asking courts to block the nitrogen execution, arguing that its unconstitutional for the state to make a second attempt to execute him and that the state’s plan violates the ban on cruel and unusual punishment and at least merits more scrutiny before it is used.

“It’s indefensible for Alabama officials to simply dismiss the very real risks this untested method presents and experiment on a man who has already survived one execution attempt,” Robin M. Maher, executive director of the Death Penalty Information Center, said.

The Alabama attorney general’s office noted that Smith, when previously fighting lethal injection, had suggested nitrogen as an alternative execution method. Courts require inmates challenging their execution method to suggest an alternative method.

“Now that the State is prepared to give Smith what he asked for, he objects,” the attorney general’s office said in a Monday statement.

The inmate’s spiritual adviser said Smith is afraid of what is about to happen to him.

“Presently, Kenny is sickened, deeply pained and horrified at the nitrogen hypoxia experiment that is to come,” the Rev. Jeff Hood, a death penalty opponent, said. “Despite the darkness that has descended, he tries very hard to fill every second he might have left with as much love as he can muster.”

Several protests are planned in the state. A group of faith leaders delivered a petition to the state’s governor on Monday asking her to halt the execution. “Prisoners are not guinea pigs,” the Rev. Shane Isner of First Christian Church said on the Capitol steps.

Alabama Gov. Kay Ivey told The Associated Press last week that the state was ready to proceed.

“Execution by that method was passed in 2018,” Ivey said. “The attorney general’s office and the Department of Corrections has assured us that all the protocols are in place, and we will carry out that law.”